CLINICAL PRESENTATION AS A GUIDE TO EARLY PROGNOSIS IN VERTEBROBASILAR STROKE

被引:45
作者
NADEAU, S
JORDAN, J
MISHRA, S
机构
[1] UNIV FLORIDA,COLL MED,DEPT NEUROL,GAINESVILLE,FL 32611
[2] BAY PINES VET AFFAIRS MED CTR,ST PETERSBURG,FL
[3] UNIV S FLORIDA,DEPT NEUROL,TAMPA,FL 33620
[4] VET AFFAIRS OUTPATIENT CLIN,LOS ANGELES,CA
[5] UNIV SO CALIF,DEPT NEUROL,LOS ANGELES,CA 90089
关键词
CEREBROVASCULAR DISORDERS; PROGNOSIS; VERTEBROBASILAR CIRCULATION;
D O I
10.1161/01.STR.23.2.165
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background and Purpose: This study attempts to assess the feasibility and heuristic value of a classification scheme for vertebrobasilar stroke. Method: Fifty-seven consecutive patients with vertebrobasilar stroke were classified on the basis of clinical features and computed tomographic abnormalities into single-sector (n = 19), multisector (n = 11), and top-of-the-basilar (n = 27) groups; a sector was defined as that portion of the brain stem supplied by a single penetrating (median) or branch (paramedian or lateral) artery. Results: Thirty-day and 3-year survival rates were 100% and 71%, respectively, in the single-sector group, and 96% and 73%, respectively, in the top-of-the-basilar group. Thirty-day and 3-year stroke recurrence free survival rates were 89% and 76%, respectively, in the single-sector group, and 96% and 88%, respectively, in the top-of-the-basilar group. Thirty-day and 3-year stroke recurrence free survival rates were 89% and 76%, respectively, in the single-sector group, and 96% and 88%, respectively, in the top-of-the-basilar group. Seven of the 11 patients in the multisector group died within 2 months of ictus, three having experienced recurrence. Conclusions: These data, in part supported by prior studies, demonstrate the feasibility and heuristic value of the classification scheme and suggest that single-sector and top-of-the-basilar stroke patients have a relatively benign early prognosis and modest long-term stroke rates.
引用
收藏
页码:165 / 170
页数:6
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